Atrial leadless pacemaker implant using Aveir VR in an adolescent with congenital heart disease.

Q3 Medicine

Indian Pacing and Electrophysiology Journal Pub Date : 2024-10-18 DOI:10.1016/j.ipej.2024.10.004

Daniel Cortez

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引用次数: 0

Abstract

Introduction: Pediatric patients with congenital heart disease repair may develop sinus node dysfunction. Leadless pacemakers have provided an alternative option to transvenous and epicardial device implants for pediatric patients in need of ventricular pacing. We describe the first adolescent patient to receive a leadless pacemaker in the atrium due to symptomatic sinus pauses.

Methods: The study was approved by the internal review board of the University of California at Davis. Femoral vein implant was performed of an Aveir VR due to the higher impedance and larger battery capacity.

Results: The 16-year-old male with dextro-transposition of the great arteries and ventricular septal defect repair had an uncomplicated atrial appendage implant of an Atrial Aveir VR, under transesophageal echocardiographic guidance. Three-month follow-up demonstrated stable threshold of 0.5 V @ 0.2 milliseconds, impedance of 720 Ω and sensing of 9.1 mV, with 10 % pacing and predicted battery longevity of 22.8 years.

Conclusion: Atrial implant of a leadless pacemaker is possible in the older pediatric population without complications, including of the Aveir VR.

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使用 Aveir VR 为一名患有先天性心脏病的青少年植入心房无导线起搏器。

简介小儿先天性心脏病修复患者可能会出现窦房结功能障碍。无导联起搏器为需要心室起搏的儿科患者提供了经静脉和心外膜装置植入的替代选择。我们描述了第一例因无症状窦性停搏而在心房接受无导联起搏器的青少年患者：本研究获得了加州大学戴维斯分校内部审查委员会的批准。由于 Aveir VR 的阻抗更高、电池容量更大，因此进行了股静脉植入：这名 16 岁的男性患有大动脉外侧横位和室间隔缺损修复术，在经食道超声心动图的引导下进行了不复杂的 Atrial Aveir VR 心房阑尾植入术。三个月的随访显示，阈值稳定在 0.5 伏特 @ 0.2 毫秒，阻抗为 720 欧姆，传感为 9.1 毫伏，起搏率为 10%，预计电池寿命为 22.8 年：结论：无引线起搏器的心房植入在老年儿科人群中是可行的，不会出现并发症，包括 Aveir VR。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

61 days

期刊介绍： Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.